Quote from 2bnurse_it
do you guys always check BP before giving BP meds?
Because on my unit, for 9am meds, nurses go off the 7am VS.
Also, if there are parameters such as "do not give is SBP is <110 or HR is less than 60"---- do you still give it if their BP is still high but their HR is low?
some nruses would say "don't give it because HR is low", and other nurses say, "you should still give it because their BP is high and it helps stabilizes the BP and especially if they are a-fib or have any heart problems--THEY STILL NEED IT"
what do you guys do? follow one or the other parameter or still just give it because they have heart problems despite the BP and hR?
I always do my own BP for pts on BP meds. What good is a 7am BP at 9am? BP can drop between those hours. Best to do your own. (and I don't have my UAP take the BP for me, I take it myself, right before giving the med)
If the paramaters read if SBP < than XXX or
HR < 60, you shouldn't give it if either of those two things falls in those ranges. Thats why the or
is there, the doc doesn't want it given if one or the other is occuring. If the doc felt that the pt still needed the BP med even with a HR <60 he/she wouldn't have put in the or HR>60.
I've held plenty of BP meds with HR<60. Never had a word said by any other nurses and when I call the doc to inform him, he's fine with it.
The way I see it is, its MY license on the line if I tank someones BP because I relied on an old BP, or I do harm because I gave a BP med even with a decent BP but a slow HR. And thinking about it, if you do give it with a decent BP but low heart rate, aren't you in a sense practicing medicine without a license? Because you are, in fact, going against the docs order.
from a new nurse.